The Good GP

In this episode of This Could Save Your Life podcast, hosts Dr Anna Mullins and Dr Catherine Bourke delve into the topic of overweight and obesity. Exploring the intricate relationship between body weight and health, emphasising that body fat alone does not define an individual's health status. Along with the importance of considering various health aspects, including mental, emotional, and social well-being, beyond just physical health.Dr Bourke and Dr Mullins provide an overview of the multi-faceted causes of obesity, highlighting genetic, lifestyle, and environmental factors. Explaining that obesity is a chronic disease influenced by a society that promotes sedentary lifestyles and convenient access to high-calorie foods. They also cover the different methods used to assess whether someone is overweight or obese, including waist measurement, waist-to-hip ratio, and Body Mass Index (BMI), noting the situations where these tools may provide inaccurate results. They further explain the health risks associated with being overweight or obese, such as high blood pressure, diabetes, and certain cancers.Addressing the challenges of weight loss, Dr Mullins and Dr Bourke discuss the body's natural mechanisms that work against weight loss, and they emphasise the need for a personalised approach to treatment. They explore various interventions, including dietary changes, exercise, medication, and bariatric surgery, and stress the importance of seeking professional medical advice for weight management.This Could Save Your Life Podcast is under The Good GP podcast, a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkMentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the importance of the four-year-old health check. The value of continuing care from pregnancy through the first five years of life and how these regular check-ups play a critical role in monitoring a child's health and development.Anna and Catherine provide a detailed overview of the key components involved in a four-year-old health check. Including screening for developmental milestones across four major areas: gross motor function, cognition and fine motor skills, communication, and social and emotional development. They emphasise that early intervention helps in addressing any concerns that may arise during these assessments.They also covered the physical examination aspect of the health check, focusing on ears, eyes, dental, growth charts for height and weight, and the importance of discussing bowel health with children and their families.They share insights into preventative health measures for this age group, topics such as sun safety, sleep hygiene, screen time, physical activity, and the benefits of reading with children. Along with the significance of these measures in promoting long-term health and school readiness.Links & Resources: https://raisingchildren.net.au/toddlers/nutrition-fitness/physical-activity/physical-activity-how-muchhttps://raisingchildren.net.au/babies/play-learning/media-technology/screen-timeThis Could Save Your Life Podcast is under The Good GP podcast, a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkMentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of This Could Save Your Life podcast, Dr Catherine Bourke and Dr Anna Mullins delve into the topic of diabetes mellitus, focusing primarily on type 2 diabetes and its prevention. They begin with what diabetes is and the key differences between type 1 and type 2 diabetes. Type 1 diabetes is described as an autoimmune condition where the body attacks its own insulin-producing beta cells, whereas type 2 diabetes is more linked to lifestyle and genetic factors over a prolonged period.Dr Bourke and Dr Mullins highlight the symptoms of diabetes such as excessive thirst, hunger, frequent urination, and the more severe long-term risks like cardiovascular disease, kidney failure, and nerve damage. They emphasise the significant impact both types of diabetes can have on individuals' quality of life.They focused on the causes of type 2 diabetes, discussing the interplay between genetic predispositions and lifestyle choices. Along with emphasising the risk factors that contribute to developing type 2 diabetes, including a sedentary lifestyle, poor diet, obesity, smoking, and certain medical conditions.They also explain that pre-diabetes is a stage where intervention can successfully prevent the progression to full-blown diabetes. Dr Bourke and Dr Mullins advocate for weight loss, regular exercise, and possibly guided dietary changes as effective measures to prevent diabetes or even put it into remission.They outlined who should be screened for diabetes, focusing on risk stratification based on various factors such as age, weight, family history, and ethnicity. Dr Bourke provides guidance on the screening process, especially for those in high-risk categories.Links & Resources:https://www.health.gov.au/resources/apps-and-tools/the-australian-type-2-diabetes-risk-assessment-tool-ausdrisk/tool This Could Save Your Life Podcast is under The Good GP podcast, a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkMentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the essential topic of high cholesterol and cardiovascular risk assessment. They explore how cholesterol impacts cardiovascular health and the strategies GPs can adopt to manage and mitigate these risks.They begin with an overview of the Australian Cardiovascular Risk Calculator, which integrates various risk factors such as cholesterol levels, blood pressure, and lifestyle habits to estimate a patient's risk of experiencing a cardiovascular event within the next ten years. Dr Bourke and Dr Mullins discuss the significance of this calculator in routine GP practices for patients aged 45 to 79 who do not have existing cardiovascular diseases.Delving deeper into the subject, Dr Mullins explains the vital role cholesterol plays in the body and differentiates between good (HDL) and bad (LDL) cholesterol. They also emphasise the importance of non-fasting cholesterol tests and how these more accurately reflect typical cholesterol levels.Extending to lifestyle approaches that can positively influence cholesterol levels, including exercise, healthy eating patterns, and the avoidance of smoking and excessive alcohol consumption. Specific dietary recommendations are provided, such as incorporating whole grains, legumes, and healthy fats while also the nuances of dairy consumption and its impact on cholesterol levels.Dr Mullins and Dr Bourke stress the importance of individual patient assessments, especially noting familial risk factors and potential genetic influences on cholesterol. This Could Save Your Life Podcast is under The Good GP podcast, a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkMentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of This Could Save Your Life podcast, hosts Dr Anna Mullins and Dr Catherine Bourke delve into the crucial topic of cardiovascular disease focusing on prevention. They discuss the importance of understanding risk factors, both modifiable—such as high blood pressure, high cholesterol, and lifestyle factors—and non-modifiable, like age, ethnicity, and family history, to effectively prevent these diseases.They talked about hypertension, or high blood pressure, a major risk factor for cardiovascular disease. Its definition, measurement, and implications when left untreated. Emphasising the importance of regular blood pressure checks from age 18 and the need for medical consultation when readings are elevated.They then highlight lifestyle strategies for managing high blood pressure, including smoking cessation, regular physical activity, adopting a DASH diet, maintaining a healthy weight, and reducing alcohol consumption. These strategies underscore the role of general practitioners in guiding patients towards healthier lifestyle choices and mitigating cardiovascular risks. Links & Resources: Heart Foundation Australia: https://www.heartfoundation.org.auThis Could Save Your Life Podcast is under The Good GP podcast, a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkMentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the topic of breast cancer screening. They discuss the importance of both screening and testing and elucidate the difference between the two.They begin by outlining what screening entails, emphasising that it’s for individuals with no symptoms of breast cancer, aiming to detect any irregularities early. Describing the screening process, including mammograms and other radiological tests, and discussing the symptoms that may necessitate further testing, such as nipple inversion, skin dimpling, and nipple discharge.Dr Bourke and Dr Mullins then provide an overview of accessing breast cancer screening in Australia. Sharing practical advice on booking screenings, the importance of finding a comfortable experience, and the role of early detection plays in effective treatment and better outcomes.They then discuss the individual risk factors for breast cancer. Advocating for the iPrevent calculator, developed by the Peter MacCallum Cancer Centre, as a valuable tool for assessing personal risk and determining appropriate screening measures. They also touched upon the genetic and familial aspects of breast cancer risk and the significance of maintaining a healthy lifestyle.Finally, they shared tips on lifestyle changes that can reduce the risk of breast cancer. Exercise, smoking cessation, moderate alcohol consumption, and maintaining a healthy weight are highlighted as key preventive measures. Along with the regular physical breast examinations and awareness of changes.Links & Resources:Breast cancer risk assessment and risk management decision support tool:iPrevent- Peter MacCallum Cancer Centre: https://www.petermac.org/patients-and-carers/health-services-for-cancer-patients/cancer-prevention/ipreventBreast screening services:Western Australia: Breast Screen WA:https://www.breastscreen.health.wa.gov.auSouth Australia:  Breast Screen SA: https://www.breastscreen.sa.gov.auVictoria: Breast Screen VIctoria: https://www.breastscreen.org.auNew South Wales: Breast Screen NSW: https://www.breastscreen.nsw.gov.auQueensland: Breast Screen Queensland: https://www.breastscreen.qld.gov.auNorthern Territory: Breast Screen NT: https://nt.gov.au/wellbeing/cancer-services/breastscreenntAustralian Capital Territory: Breast Screen ACT: https://www.canberrahealthservices.act.gov.au/services-and-clinics/services/breastscreen-actThis Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkMentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins discuss a critical and often overlooked aspect of health: Bone Health. They begin with clarifying the terms osteoporosis and osteoarthritis, which are often confused by patients. Dr Bourke and Dr Mullins present statistics highlighting the grave consequences of untreated osteoporosis, reinforcing the urgent need for awareness and early diagnosis. While also outline the risk factors, including age, family history, hormonal imbalances, vitamin D deficiency, and low body weight.Emphasising the importance of prevention through nutrition, particularly calcium intake, lifestyle changes such as quitting smoking and reducing alcohol consumption, and specific exercises like resistance and balance training. Practical advice is provided to help patients incorporate these into their daily routines. They also discuss the bone mineral density test (DEXA scan), which is crucial for diagnosing osteoporosis and monitoring bone health over time.They then discussed treatment, including medications and multi-disciplinary care involving GPs, dietitians, and exercise physiologists. The long-term impact of fractures on independence and quality of life is stressed, making this a valuable resource for GPs aiming to improve patient outcomes in bone health.Links & Resources:Healthy Bones Australia: https://healthybonesaustralia.org.auThis Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkMentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

Welcome to This Could Save Your Life podcast! With hosts Dr Anna Mullins and Dr Catherine Bourke, a podcast focused on preventative health and health tips for both patients and the general public.Dr Mullins and Dr Bourke commence by sharing their backgrounds in general practice and exercise physiology, highlighting their joint interest in preventative healthcare. Explaining the three types of prevention: primary, secondary, and tertiary, and briefly outline the structure and objectives of the podcast, aiming to cover a range of important health topics.For this episode, they focus on bowel cancer screening. They discuss the symptoms that may indicate bowel cancer and the difference between screening tests and diagnostic tests. They outline the importance of recognizing individual risk factors, such as family history, and explain the updated guidelines for bowel cancer screening in Australia, now recommending testing from age 45 for those at average risk.Describing the process of obtaining and completing the Faecal Occult Blood Test (FOBT) kit. Dr Mullins and Dr Bourke emphasise the simplicity of the test and provide practical guidance on obtaining the kit, either online or by phone, and what to do if a patient has misplaced or not completed their kit.They also talked about lifestyle and dietary interventions to lower the risk of bowel cancer, including quitting smoking, engaging in regular exercise, maintaining a healthy weight, moderating alcohol consumption, and making specific dietary choices such as reducing red and processed meat while increasing fibre and potentially, dairy intake. As well as the role of aspirin and calcium supplements in risk reduction.This Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkMentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, host Dr Julia Rawlinson is joined by Dr Lynette Griffiths, GP registrar and perinatal clinical psychologist, and Dr Erin Seeto, clinical and counselling psychologist and Clinical Services Manager at the Gidget Foundation. Discussing the topic of perinatal mental health, focusing on the impact on families, the healthcare system, and the broader community.Beginning with an overview of the prevalence and spectrum of perinatal mental health conditions, covering not only postnatal depression and anxiety but also a range of issues such as PTSD, birth trauma, OCD, and the significance of intrusive thoughts. Highlighting the effects of untreated perinatal mental health issues, including disruptions to parent-infant bonding, relationship stress, and risks to the mental and physical wellbeing of children. Providing practical strategies and advice for GPs to support and assess parents. The importance of routine screening for mental health concerns during both antenatal and postnatal visits. As well as the necessity of validating parents’ experiences, normalising mental health struggles, and engaging both mothers and partners in screening, to which their mental health may be different across genders.Discussing key resources and support available for families and GPs across Australia, including telehealth services, group programs, public mental health services, and helplines such as those provided by the Gidget Foundation and PANDA.Links & Resources:For Clients: Fact Sheets: https://www.gidgetfoundation.org.au/resources/fact-sheetsBlogs: https://www.gidgetfoundation.org.au/gidget-blogPodcast: https://www.gidgetfoundation.org.au/resources/1-in-5-mothers-1-in-10-fathersReal Stories: https://www.gidgetfoundation.org.au/real-stories/gidget-angel-stories For Health Professionals: How To Refer: https://www.gidgetfoundation.org.au/health-professionals/how-to-refer-a-patientResource Library: https://www.gidgetfoundation.org.au/resource-libraryOther support services: https://www.gidgetfoundation.org.au/support/other-support-servicesThe Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and

In this episode of The Good GP, host Dr Maria Li speaks with Dr Katherine Wyld, an obstetric physician and endocrinologist, about hyperemesis gravidarum (HG). Outlining the distinction between common nausea and vomiting in pregnancy and the more severe and debilitating hyperemesis gravidarum.Dr Wyld discusses the prevalence of HG, affecting about 1% of pregnancies, and its risk factors such as the history of HG and multiple gestations. She reviews tools for assessment, including the PUQE score, and says the need for clinical judgement, particularly where weight loss and electrolyte abnormalities are present.Discussing management strategies as well; starting with single agents for mild cases, but initiating multiple antiemetics and supportive care early for moderate to severe cases. Dr Wyld covers the safety of first-line medications, as well as practical prescribing tips, monitoring frequency, and the importance of regular dosing.Providing guidance on when to refer or escalate care, including red flag symptoms and criteria for hospital admission. They also talked about the mental health impact of HG, the importance of patient education and support, and assurance regarding typical pregnancy outcomes for most women with HG.Links & Resources:Summary of nausea & vomiting and Hyperemesis, including medication list: SOMANZ-Management-of-NVP-Position-Statement-Updated-Oct-2023-FINAL-1.pdfPatient information sheets (including PUQE score):Hyperemesis-gravidarum.pdfNauseaAndVomitingInPregnancy_2024.pdfList of obstetric physicians: Obstetric Physicians - Society of Obstetric Medicine Australian and NZThe Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Brad McKay, a Sydney-based GP with extensive experience in HIV treatment, to discuss HIV pre-exposure prophylaxis (PrEP) and its vital role in general practice. This episode is produced in collaboration with the Australian Society of HIV, Viral Hepatitis and Sexual Health Medicine (ASHM).Dr McKay provides an in-depth overview of what PrEP is, who it is suitable for, and addresses common misconceptions about patient eligibility. Discussing that while PrEP has traditionally been targeted towards gay men and men who have sex with men, there are other groups at risk of HIV who may benefit, including heterosexual individuals, people with partners living with HIV, and people who inject drugs. They emphasise the importance of a non-judgmental and inclusive approach, encouraging GPs to routinely take sexual histories and offer PrEP when appropriate, reducing stigma and improving patient outcomes.Providing practical guidance on baseline investigations, including HIV, Hepatitis B and C, syphilis, gonorrhoea, chlamydia screening, and renal function assessment. Dr McKay explains the considerations for both daily and on-demand PrEP regimens, outlining which patients are suitable for each based on sexual practices, and addresses key points around adherence and management of missed doses. He also touches on newer options such as long-acting injectable PrEP, providing insights into future directions for HIV prevention in Australia.Includes advice for GPs on ongoing follow-up, including recommendations for quarterly review, repeat sexual health screening, and renal monitoring.Links & Resources:ASHM HIV PrEP Decision Making Tool: https://ashm.org.au/wp-content/uploads/2025/07/ASHM_HIV_PrEPtool__July-2025_WEB.pdfASHM National PrEP Guideline: https://ashm.org.au/wp-content/uploads/2025/08/ASHM-PrEP-guidelines-2025_FINAL.pdfPrEP Access Now website: https://www.pan.org.au/The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network – the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, Dr Krystyna de Lange is once again joined by Dr Karen Magraith, for the second part of a two-part series focusing on the pharmacological management of osteoporosis. Dr Magraith is a member of the Medical and Scientific Advisory Committee with Healthy Bones Australia and the immediate past president of the Australasian Menopause Society.They begin with a review of the clinical criteria for initiating pharmacological treatment in osteoporosis, highlighting the latest RACGP and Healthy Bones Australia guidelines. Outlining which patient groups should be considered for treatment, including those with minimal trauma fractures, based on T scores, and those assessed using FRAX risk calculations.Providing insights into choosing between these treatments, taking into account the patient's age, fracture risk profile, comorbidities, potential adherence, cost, and PBS eligibility. Discussing risk-benefit considerations for each class of medication, as well as patient education, monitoring for side effects, and specific prescribing considerations such as dental health and renal function.Dr Magraith addresses the importance of ongoing monitoring, including when to repeat bone mineral density testing, the rationale behind “drug holidays” for bisphosphonates, and the need for continuous therapy with denosumab. Highlighting key guidance points around therapy duration, transitioning between agents, and when to involve specialist care.Links & Resources:Healthy Bones Australia fact sheets - https://healthybonesaustralia.org.au/your-bone-health/Australasian Menopause Society Practitioners Toolkit for the Management of Menopause - https://www.menopause.org.au/hp/information-sheets/practitioners-toolkit-for-management-of-the-menopauseRACGP and Healthy Bones Australia Clinical Guidelines - https://healthybonesaustralia.org.au/health-care-professionals/guidelines-statements/The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, Dr Krystyna de Lange is joined by Tasmanian General Practitioner and medical educator Dr Karen Magraith for a two-part series on osteoporosis. Discussing on the current Australian approaches to osteoporosis screening, assessment, and diagnosis, with emphasis on practical considerations for GPs.Dr Magraith outlines the latest guidelines from the RACGP and Healthy Bones Australia, including distinctions between population screening and case finding for osteoporosis. Providing criteria for bone density assessment, such as age thresholds, specific medical conditions, and medication use. Identifying patients with minimal trauma fractures is highlighted, as well as groups who may be at high risk due to factors like glucocorticoid use, early menopause, and various systemic diseases.They also discussed the use of risk assessment tools, namely the FRAX and Garvan calculators, to better predict fracture risk in patients with non-modifiable and lifestyle-related factors. Dr Magraith also provides a clear overview on interpreting bone mineral density (BMD) reports, including the significance of T-scores and Z-scores and when to investigate for secondary causes of osteoporosis.Dr Magraith emphasises patient education and non-pharmacological management strategies, including nutrition (adequate calcium and protein intake), vitamin D sufficiency, exercise (resistance, impact, and balance training), and falls prevention. Links & Resources:Healthy Bones Australia fact sheets - https://healthybonesaustralia.org.au/your-bone-health/Australasian Menopause Society Practitioners Toolkit for the Management of Menopause - https://www.menopause.org.au/hp/information-sheets/practitioners-toolkit-for-management-of-the-menopauseRACGP and Healthy Bones Australia Clinical Guidelines - https://healthybonesaustralia.org.au/health-care-professionals/guidelines-statements/The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, host Dr Tim Koh speaks again with Dr Bhavesh Patel, a Queensland-based paediatric surgeon, about foreskin problems in boys, an area where general practitioners often face questions from families but might have limited training or exposure.Dr Patel outlines the normal development of the foreskin, clarifying common misunderstandings around the expected age of retraction. He explains that full retraction occurs at a median age of 10.4 years, with wide normal variation, and describes how outdated perceptions have contributed to anxiety and misinformation among families.Giving practical advice for parents regarding hygiene and caring for the foreskin, he emphasises avoiding forced retraction and outlining appropriate bathing routines. They identify normal findings such as the presence of smegma and occasional ballooning during urination, and distinguish them from signs that may indicate pathology.Treatment options were also discussed, starting with conservative management such as topical steroid creams, highlighting a regime that achieves a high rate of success. Dr Patel also touches on the management of preputial adhesions and when to consider surgical intervention.The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, host Dr Tim Koh is joined by Dr Bhavesh Patel, a Queensland-based paediatric surgeon, to discuss the assessment and management of scrotal problems in boys, a common area of concern for general practitioners.Dr Patel outlines the common scrotal issues encountered in newborns and children, including hydroceles, inguinal hernias, undescended testes, and varicoceles. He explains the typical presentations of these conditions and highlights key distinctions, such as the differences between retractile and undescended testes, as well as the nuances of diagnosing these conditions in a clinical setting.Providing guidance on the natural history and management of hydroceles, saying that most hydroceles resolve without intervention within the first 1–2 years of life.On the subject of undescended and retractile testes, Dr Patel advises on clinical assessment, the importance of careful examination, and when follow-up is necessary. They also address counselling parents regarding potential long-term risks, monitoring strategies, and indications for referral.Additionally, they also covered the evaluation of inguinal hernias presenting as scrotal swellings and the differential diagnosis of other less common scrotal conditions, such as lymphatic malformations and testicular tumours.The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, host Dr Maria Li welcomes Dr Arthur Price, an immunologist based in Wellington, New Zealand, to discuss penicillin allergy—one of the most frequently reported and commonly misunderstood drug allergies in general practice.Dr Price clarifies the true prevalence of penicillin allergy, explaining that while approximately 10% of patients admitted to hospital carry a penicillin allergy label, only about 10% of those actually have a genuine allergy. Emphasising that most patients with a penicillin allergy label can be safely de-labelled after proper assessment.They address the typical presentations of penicillin allergy. Outlining three main patient groups: those who clearly are not allergic based on history (such as patients with only gastrointestinal side effects or late-onset rashes), those with uncertain or vague histories (including childhood reactions where details are unclear), and those with definitive immediate or severe delayed reactions (such as anaphylaxis or severe cutaneous adverse reactions like Stevens-Johnson syndrome). Dr Price provides practical advice on history-taking to help GPs risk stratify and identify true penicillin allergy, including key questions to ask about timing, symptoms, and the nature of the reaction.Discussing the investigation and referral pathways for suspected penicillin allergy. Dr Price recommends that patients with unclear or potentially significant histories should generally be referred to an immunologist for assessment, rather than managed solely in primary care. He highlights the limitations of current tests and the importance of specialist input.For general practitioners, Dr Price advocates a proactive approach to reviewing penicillin allergy labels and encourages considering referral for possible de-labelling where appropriate. They highlight the value of accurate documentation and patient education in ensuring safe and effective future care.Links & Resources:The ASCIA guidelines Arthur referred to in the podcast: https://www.allergy.org.au/images/stories/hp/info/ASCIA_HP_Consensus_Penicillin_Allergy_2020.pdfAimed at immunologists, so while GPs may find it useful for context and interest, it’s not something intended for day-to-day practice in primary careThe Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, host Dr Maria Li speaks with Dr Arthur Price, a clinical immunologist with expertise spanning food allergy and immunodeficiency, on the frequently overlooked condition known as oral allergy syndrome (OAS).Dr Price begins by defining oral allergy syndrome as a mild form of food allergy where symptoms—typically oral itching—are limited to the mouth, lips, and throat following the consumption of raw fruits, vegetables, or certain nuts. He highlights the prevalence of OAS, noting that it affects up to 10% of the general population and is even more common among patients with hay fever and eczema.Covering typical clinical presentations seen in general practice, commonly triggered foods (such as apples, stone fruits, and hazelnuts), and the distinct lack of systemic symptoms in classic OAS cases. They provide practical advice on recognising OAS, taking a thorough history, and distinguishing it from more severe or systemic food allergies. Dr Price emphasises the importance of a clinical diagnosis and discusses why routine allergy testing is seldom indicated unless the case is atypical. They also talked about the management of OAS, the role of dietary avoidance, the use of antihistamines if symptoms do not resolve quickly, and reassurance regarding the very low risk of severe or life-threatening reactions.Discussing the impact of food preparation (e.g. tolerance of well-cooked fruits vs. raw forms), when to consider referral to allergy specialists, and how to support patients in making sensible, evidence-based decisions about food avoidance while maintaining good quality of life.Links & Resources:https://www.allergyuk.org/wp-content/uploads/2022/03/Oral-Allergy-Syndrome-v5.pdfhttps://www.allergy.org.au/patients/food-other-adverse-reactions/oral-allergy-syndromehttps://www.bsaci.org/wp-content/uploads/2024/03/Pollen-Food-Syndrome-PIL.pdfThe Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, host Dr Julia Rawlinson is joined by Dr David Manners, respiratory consultant and lung cancer and bronchoscopy subspecialist at Midland Hospital, to discuss the National Lung Cancer Screening Program launching across Australia on 1 July. To outline the rationale behind the new guidelines, highlighting that lung cancer remains the leading cause of cancer-related mortality in Australia, typically presenting at a late stage when curative treatment is less likely.Dr Manners explains the evidence base for low-dose CT screening, referencing the US-based NLST and European Nelson studies, both of which demonstrated a significant reduction in lung cancer mortality among high-risk individuals. He also provides an overview of international screening efforts, comparing Australia’s rollout with programs in the US, Europe, and Canada.Eligibility criteria for the Australian program are detailed: patients aged 50 to 70 years, with a smoking history of 30 or more pack years, and for ex-smokers, having quit within the past 10 years. The reporting pathway and follow-up guidelines for detected nodules are also covered, including the importance of family history in risk assessment.They also covered why the Australian eligibility criteria were chosen, based on international evidence and local health economics analysis, and emphasises that the screening program is intended for asymptomatic individuals. For further information and resources about the National Lung Cancer Screening Program, please refer to the resources below:CPD and training: https://lungfoundation.com.au/health-professionals/training-and-events/national-lung-cancer-screening-program-health-workforce-education/?utm_source=Google&utm_medium=PerformanceMax&utm_campaign=NLCSP_2025&utm_content=PMAX&gad_source=1&gad_campaignid=22441651848&gbraid=0AAAAABIcwmqPnfnhOcrfcfcgRcZryqtqb&gclid=EAIaIQobChMI-vuFxd-TjgMVtahmAh2vtAmiEAAYASAAEgLwK_D_BwEProgramme Guidelines - pdf download: https://www.health.gov.au/sites/default/files/2025-04/national-lung-cancer-screening-program-guidelines.pdfPack year calculator: https://www.mdcalc.com/calc/10187/pack-years-calculatorThe Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, Dr Krystyna de Lange is joined by Dr Marita Long, to discuss recent advances in the treatment of cognitive impairment, particularly mild cognitive impairment due to Alzheimer’s disease.Dr Long outlines the approval of the first anti-amyloid therapy in Australia—approved by the TGA for use in patients with mild cognitive impairment or early Alzheimer’s dementia. Covering the evidence base for this new therapy, focusing on data from the Trailblazer Two clinical trial, which demonstrated a modest slowing in cognitive decline for patients treated with the anti-amyloid agent compared to placebo. Dr Long emphasises that these are not curative treatments, but may offer an extended period of independence and delay transition into residential care, especially if administered at an earlier stage of disease.They also addressed the challenges in identifying suitable patients for anti-amyloid therapy, given the complexities in diagnosing mild cognitive impairment and Alzheimer’s disease. Dr Long provides practical tips for GPs on recognising early cognitive symptoms and outlines the importance of thorough cognitive assessments and timely specialist referral for further diagnostic evaluation and access to new therapies.Accessibility and eligibility criteria for anti-amyloid therapy were also discussed, including the current requirements for specialist confirmation of an Alzheimer’s diagnosis (often via PET scan), and certain exclusions, such as high vascular risk or mixed dementia pathology.Dr Long also provides an overview of how these new disease-modifying therapies compared to existing symptomatic treatments (such as cholinesterase inhibitors), and notes the ongoing evolution of practice as further data become available.The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

In this episode of The Good GP, Dr Sean Stevens and Dr Julia Rawlinson are joined by Dr Lauren Breen, community psychologist, researcher, and professor at Curtin University, and Shelly Skinner, CEO and founder of Lionheart Camp for Kids, to discuss childhood grief.They explore the prevalence and impact of childhood bereavement in Australia, it is estimated that approximately 235,000 children have lost one or both parents. They emphasise that it is important for GPs to recognise and address grief in children and adolescents.Dr Breen outlines the developmental differences in how children, adolescents, and adults experience and express grief. Covering common presentations in children, such as somatic symptoms (e.g., headaches, stomach aches, sleep disturbances). Adolescents may display increased anxiety, vigilance, or engage in risk-taking behaviours.Communication is highlighted as a key intervention: encouraging open conversations within families and using direct language around death can support healthy grieving. Shelly Skinner shares insights from Lionheart Camp for Kids on the value of early interventions, including upskilling not just parents, but also grandparents, teachers, and coaches, to ensure grief literacy across the community. GPs are reminded that while grief is not a medical condition, it is both common and significant. Early, ongoing, and comprehensive support—both within the family and with community organisations—can minimise negative impacts and foster resilience and growth in bereaved children and their families.Links & Resources:Lionheart Camp for Kids is a not-for-profit organisation empowering bereaved children, teens and families to navigate their grief journey through education, peer-support, strength-building and resilience. See the website: https://lionheartcampforkids.com.au/ for lots of information about programs and other resources.Lauren Breen’s website: https://www.drlaurenbreen.com/ also has lots of resources like infographics and videos relevant to supporting grieving children, teenagers and young adults.Lauren and Shelly’s study on the questions bereaved children ask about death and grief can be found here: https://doi.org/10.1007/s10826-023-02694-x.  Lauren’s study on what works to reduce anxiety and depression for grieving youth can be found here: https://doi.org/10.1016/j.jad.2023.05.032.Supporting Adolescents in Loss Project SKIL is a website that hosts a free, CBT-based, online treatment for grieving teenagers. You can find it here www.sailgrief.com. Curtin University researchers are also developing a similar one for grieving children, and people can sign up here: www.skilgrief.comThe Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out...